Organization Active NPI

Laura Rose Functional Nutrition

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1811853443
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LAURA ROSE FUNCTIONAL NUTRITION
Practice address
4751 Mount Royal LN
Charlotte, NC 28210-4690
Phone
(607) 743-6253
Fax
(704) 259-4120
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Dragon, MS, RD, LDNNPI 1063927614
Title
Owner
Phone
(607) 743-6253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4751 Mount Royal LN
Charlotte, NC 28210-4690

Mailing address

4751 Mount Royal LN
Charlotte, NC 28210-4690
Phone (607) 743-6253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1811853443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 MOUNT ROYAL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104690",
            "telephone_number": "607-743-6253",
            "fax_number": "704-259-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 MOUNT ROYAL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104690",
            "telephone_number": "607-743-6253",
            "fax_number": "704-259-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA ROSE FUNCTIONAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "DRAGON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-743-6253",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.